慢性危重症的预测及营养治疗进展

郭 焕钢
石狮市医院重症医学科、临床营养科 福建省泉州市 362700

摘要

目的：慢性危重症(CCI)是重症医学发展的产物，分解代谢增加、营养不良、肌肉组织严重减少是其重要特征。严重创伤应激、感染引起MDSC在体内大量蓄积导致的持续炎症-免疫抑制-高分解代谢可能是CCI目前最广为接受的病理生理机制。一些指标可以预测CCI的发生。早期积极处理原发病，给予重要器官功能恰当支持、早期康复训练等可防止CCI。合理等营养支持治疗与维护肠道微生态平衡是CCI救治中的关键手段。本文拟对慢性危重症的预测和营养治疗进展进行综述，以期提高CCI的防治水平。

关键词

慢性危重症；预测；营养治疗；肠道微生态平衡

参考

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